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[Opisthorchiasis simulating a malignancy].

B Berger1, M Vierbuchen

  • 1Allgemeines Krankenhaus St. Georg, Institut für Pathologie, Hamburg. DresSchulz.Berger@t-online.de

Zeitschrift Fur Gastroenterologie
|March 20, 2001
PubMed
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This study details two Siberian patients with Opisthorchis felineus infection, initially mimicking leukemia and gallbladder cancer. Both patients were successfully treated with Praziquantel, highlighting effective parasite management.

Area of Science:

  • Parasitology
  • Infectious Diseases
  • Hepatobiliary Medicine

Background:

  • Opisthorchiasis, caused by the Opisthorchis felineus parasite, is endemic in parts of Asia and Russia.
  • Human infection occurs through consumption of raw freshwater fish contaminated with parasite metacercariae.
  • The parasite is a known risk factor for developing cholangiocarcinoma, a bile duct cancer.

Observation:

  • Two patients from Siberia presented with unusual disease courses mimicking eosinophilic leukemia and gallbladder malignancy.
  • Initial symptoms were nonspecific, necessitating specific diagnostic approaches.

Findings:

  • Specific antibodies against Opisthorchis species were crucial for diagnosis in patients from endemic areas with eosinophilia.
  • Malignancy was ruled out in both cases.

Related Experiment Videos

  • Complete cure was achieved with oral Praziquantel (40-75 mg/kg) administered in three divided doses over one day.

    • Implications:

    • Early detection of Opisthorchiasis is vital, especially in individuals with eosinophilia residing in or traveling to endemic regions.
    • Prompt treatment with Praziquantel can effectively manage Opisthorchis felineus infections and prevent potential long-term complications like cholangiocarcinoma.
    • This case report underscores the importance of considering parasitic infections in differential diagnoses of complex clinical presentations.